Individual
DR. JOHN LAURENCE EARL NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 12TH AVE, SUITE 200, FORT WORTH, TX 76104-3926
(817) 850-2000
(817) 850-2065
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
E1091
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124554001
—
TX
05
—
124554002
—
TX
05
—
124554003
—
TX
05
—
124554005
—
TX
05
—
124554006
—
TX
05
—
124554008
—
TX
01
—
8R1516
BLUECROSS OF TEXAS
TX
Enumeration date
06/12/2006
Last updated
03/11/2010
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